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本文论述了低收入国家、中等收入国家、经济合作与发展组织国家和前社会主义国家卫生系统主要问题、改革的重点与方向。对我国卫生改革的借鉴是:(1)卫生改革是手段,发展是目的,通过卫生改革促进卫生发展;(2)在发展医疗市场经济的同时,加强管理竞争,防止完全“市场化”趋向;(3)发展合作医疗制度,提高健康保险覆盖率;(4)采取综合措施,控制医疗费用增长。
This article discusses the main issues of health systems in low-income countries, middle-income countries, OECD countries and former socialist countries, and the focus and direction of reform. References to China’s health reforms are: (1) Health reform is a means, development is the goal, and health development is promoted through health reform; (2) In the development of a medical market economy, management competition is strengthened to prevent complete ”marketization” (3) Develop a cooperative medical system to increase health insurance coverage; (4) Take comprehensive measures to control the growth of medical expenses.